While we can certainly agree that those results suggest a dire need for intervention, there is a big difference between clinical need and eligibility for reimbursement. In fact, testing is not, and never has been, enough to justify oxygen reimbursement.

And so, it is simply not enough to train customer service representatives (CSRs) to obtain test results before setting up a new patient. They must identify details such as diagnosis, severity, and treatment history in the medical records to effectively predict a coverage decision. This session is not about second-guessing physicians’ directives; it is about reconciling those decisions with coverage.